Individual
COURTNEY NOELLE VANCIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1401 SW 34TH ST # 300, MOORE, OK 73160-3059
(405) 793-7885
Mailing address
1401 SW 34TH ST # 300, MOORE, OK 73160-3059
(405) 793-7885
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056012353
IL
225X00000X
Occupational Therapist
Primary
5423
OK
Other
Enumeration date
06/26/2019
Last updated
06/16/2021
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